0 ABCD When I joined the ARC Board, I was: a.Surprised to learn that ARC had anything to do with aging b.Not surprised, but did not know the scope of its aging work c.Worried that the aging committee was for board members that had hung around too long. d.Very familiar with ARC’s work to support older adults

Caregiving on the ARC Board: a.I have cared for an older family member at some point in the last 5 years. b.I am actively caring for a family member or friend now. c.I have not yet been a caregiver 0 ABC

Old is: a.50 b.65 c.80 d.90 e.To be avoided 0 ABCDE

TWO GOALS: 1.Support older adults in the community 2.Address the systematic issues that create barriers to living in the community

Source: ARC Plan 2040 Transportation Update (2014) (20- County Area)

NEW ECONOMIC STRENGTH Billion in 65+ Wages In 2013 Q1, those aged 65+ held 3.7% of the jobs in the 10-county ARC area The average monthly wage is $1,208 for those 65+, which does lag the overall average monthly wage for all others (18- 64) in the workforce at $1,400 …For some higher-paying industries, e.g. Professional Services, Mgmt. of Companies, average wages for 65+ are higher 7

Adapting to the New World Order

One year of Older Americans Act Spending = One day of Medicare Spending * FY 2014: 1.8 billion annual OAA allocation compared to $595 billion in Medicare

Data Measure what we do and to whom Measure the Results/Impacts of Services Delivered Outcomes Reduce Costs Competitive with Market Attractive to Potential Payers Share Risk with Partners and Payers Pay for Performance Scale Programs Grow Partner Capacity to Meet Regional Needs

Data: Measure what we do and to whom

Measure the Results/Impacts of Services Delivered Outcomes:

Competitive with Market Attractive to Potential Payers Reduce Costs:

Grow Partner Capacity to Meet Regional Needs Scale Programs :

Share Risk with Partners and Payers Pay for Performance:

Cost of Chronic Disease Georgia

Source: REMI $40 Billion P ERSONAL I NCOME $7.8 Billion I N A DDITIONAL GDP What if more retirees move to Metro Atlanta??? 20

Source: REMI (ARC Analysis) $4 Billion M ORE IN P ERSONAL I NCOME $2.6 Billion I N A DDITIONAL GDP What if more working age (18-64) people move to Metro Atlanta? 21

Place Matters!

Expenditure Comparison 2016 to Expenditures by Element $66,375, Expenditures by Element $72,251,682

What’s Next? Service Contracts that purchase services Reduce ARC costs AND Develop provider capacity for ARC AND/OR on behalf of others Quality data used to measure impact Compete for new opportunities